Individual
MRS. CAROLYN MARIE ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
165 N VILLAGE AVE STE 200, ROCKVILLE CENTRE, NY 11570-3701
(516) 318-2489
Mailing address
119 HARMONY DR, MASSAPEQUA PARK, NY 11762-3418
(516) 589-3694
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005369
NY
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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